Provider Demographics
NPI:1831421122
Name:MARSIGLIA, DANIEL ANTHONY (COTA/L)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:MARSIGLIA
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PALM BEACH RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4044
Mailing Address - Country:US
Mailing Address - Phone:772-288-1860
Mailing Address - Fax:772-785-6731
Practice Address - Street 1:1500 PALM BEACH RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4044
Practice Address - Country:US
Practice Address - Phone:772-288-1860
Practice Address - Fax:772-785-6731
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA653224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant